NPI | 1922399468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A157959) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-131097) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-131097) | |
Enumeration Date | 2011-05-02 |
Last Update Date | 2018-09-25 |